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Suggest Treatment For Tear Of Anterior Talofibular Ligament With Marrow Edema In The Lateral Malleolu?
Question: I have a complete full thickness tear of the anterior talofibular ligament with marrow edema in the lateral malleolus without discrete fracture. Don't know how nor when the injury occurred until on Friday evening running errands shopping and felt a pop, electrical sensation in my left ankle/foot. To date the pain/discomfort has only increased. Currently continued aquatic wellness/physical therapy that had been doing prior to this occurring, to strengthen my ligaments. But have yet to see an orthopedist. Not sure what avenues I need to take to make sure I'm heading in the right direction. Is this surgically repaired?
Brief Answer:
Rest and analgesic are needed primary treatment.
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. You have anterior talofibular full thickness tear. Its primary treatment is rest and analgesic such as ibuprofen for pain relief. Vitamin B and C is useful in recovery. Early mobilization and rehabilitation may provide earlier functional recovery relative to surgery, and there is general agreement to try a 6-week period of conservative management, including early, controlled mobilization and rehabilitation before considering surgery. Also, no difference is found in long-term outcome when comparing early surgical repair with delayed surgical repair following failed conservative therapy.Therefore, there is no indication for routine early surgical repair.
At present rest to ankle( ankle brace or boot can be worn, icing and analgesic such as ibuprofen and controlled excercises are the treatment required.,
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Rest and analgesic are needed primary treatment.
Detailed Answer:
Hi
Thanks for your query
I'm Dr Sudhir Kumar
I have gone through your query and understand your concern. You have anterior talofibular full thickness tear. Its primary treatment is rest and analgesic such as ibuprofen for pain relief. Vitamin B and C is useful in recovery. Early mobilization and rehabilitation may provide earlier functional recovery relative to surgery, and there is general agreement to try a 6-week period of conservative management, including early, controlled mobilization and rehabilitation before considering surgery. Also, no difference is found in long-term outcome when comparing early surgical repair with delayed surgical repair following failed conservative therapy.Therefore, there is no indication for routine early surgical repair.
At present rest to ankle( ankle brace or boot can be worn, icing and analgesic such as ibuprofen and controlled excercises are the treatment required.,
You can discuss with your doctor about it.
Hope your query get answered. If you have any clarification then I will be happy to help you.
Wishing you a good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
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